Is an invagination or telescoping of a portion of the intestine into another, resulting in obstruction beyond the defect.


Not usually known, may be due to increase motility of intestine.

Possible causes:

Polyps or cysts in the bowel, malrotation, acute enteritis, abdominal, injuries, abdominal surgery, cystic fibrosis, celiac disease.

Altered physiology:

Intestine become curved, sausage-like blood supply is cut off bowel begins to swell haemorrhage may occur and complete obstruction may occur necrosis of involved segment.


Iileocecal ( most common ) , colocolic , ileoileo .

Clinical manifestations:

- ( 4-10 months ) is the most common age.

- Onset is sudden, paroxysmal abdominal pain.

- Current jelly-like stool, blood and mucus present in stool ( following rectal exam).

- Vomiting.

- Abdominal distention.

- Sausage-like mass palatable in the abdomen.

- Dehydration.

- Fever.

- Shock.

Diagnostic evaluation:

- History.

- General appearance.

- X-Ray abdomen: reveals staircase pattern.

- Barium enema: the coil-like appearance of the bowel.


- Hydrostatic reduction with the barium enema.

- Surgical reduction, resection if the bowel is gangrenous.

Patient problems:

- Altered comfort level ( pain ) related to invagination of the bowel.

- Alteration in fluid and electrolyte balance related to vomiting.

- Respiratory distress related to abdominal distention.

- Parental anxiety related to the suddenness of the child's illness, hospitalization, surgery, the lake of Understanding of the condition.

- N.G. tube may be inserted to prevent vomiting and aspiration.


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